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Sysmex® CA-600 Series Analyzer Quality Control Online Training

Perform quality control and use the quality control screen to review, print, and evaluate QC data resulting in comprehensive records for your quality control program. This clinical laboratory training qualifies for continuing education units (CEU).

Welcome to the Sysmex® CA-600 Series Quality Control Online Training course.  This course focuses on how to process Quality Control (QC), and how to identify and print QC data. Select Next to continue. Describe the process used to run QC Identify data on the QC printouts Identify key areas of the QC screen List the steps used to print QC data Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations.  You have completed the Sysmex® CA-600 Series Quality Control Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Describe the process to run QC Quality Control reagent preparation (Prepare the QC reagent by following the package insert for reconstitution instructions). Loading the QC   (Set quality control sample on the sample rack) Ordering the QC (Press ID No. Entry, Enter QC, enter the appropriate file number (example QC01), after all QC is ordered, Press Start) Identify key areas of the QC screen QC program features include: 6 different QC files Store up to 180 data points for up to 14 different test methods Data evaluation on a Levey-Jennings QC chart Control limits to evaluate QC result Upper Stop Limit (Stop_UL) = mean +3SD. If a QC analysis result exceeds the upper stop limit, the instrument stops running. Upper Flag Limit (Flag_UL)= mean +2SD. If a QC analysis result exceeds the upper flag limit, the instrument flags the data as an error. Target = Target value of QC data Lower Flag Limit (Flag_LL) = mean -2SD. If a QC analysis result falls below the lower flag limit, the instrument flags the data as an error. Lower Stop Limit (Stop_LL) = mean -3SD. If a QC analysis result falls below the lower stop limit, the instrument stops running. Displayed on the QC software screen: QC file, test method, QC lot number, QC expiration date Mean, SD, CV% and N (number of points in the file displayed) Levey-Jennings chart - displaying results, stop-UL, stop LL, Flag UL and  flag LL values. Change scale key:  Changes the number of data points displayed from 80 to 160 Print key:  Prints the QC file number and test method displayed in List or Graph format Select File key:  Select 1 of 6 QC files to display on the Levey-Jennings chart Select Test key:  Select 1 of the possible 14 test methods to display on the Levey-Jennings chart Delete key: Deletes QC data points from the displayed chart. Can delete 1, multiple or all QC data points using the cursor.  Change cursor allows you to select a single or multiple data points on the chart. Settings key:  Can set up the QC file and test method to specific laboratory ranges. Set replicates, Limits - including upper stop, upper flag, target, lower flag, lower stop, QC lot number and expiration date are entered in this menu. List the steps to print QC data Two different QC printout formats:  QC List or Graph printout To print QC results from the Main Menu screen: Select QC On the Quality Control screen, use the Select File / Select Test keys to select the test method and QC file that you want to print Select  Print Select Graph to print QC results in a Levey-Jennings chart format or Select List to print QC results in a list format Select Cancel to cancel printing Identify data on the QC printouts Information that is displayed on both formats: Date and time of the printout, test method and QC file, Lot number and expiration date of the QC displayed, Mean, SD, CV%, control limits set for the QC displayed, and the target Graph printout:  Displays the QC points on a Levey-Jennings chart with the upper and lower stop limits List printout:  Displays each QC data point result with the date, time and result.  An asterisk will appear to the right of the result if the result exceeds the upper or lower stop limit. Select Next to continue.   Sysmex® CA-600 series coagulation analyzer QC processing and analysis involves the following tasks: Quality Control reagent preparation Loading the QC Ordering the QC   Processing QC Learn more about Processing QC. Checklist TitleChecklist TypeChecklist ContentPrepare ReagentHTML Prepare the QC reagent by following the package insert for reconstitution instructions. Select each checkbox to learn more about processing QC.  Load QCHTML Load the QC onto the analyzer.  Order QCSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004767/sim_CA600_OrderingQC_800x591_9/sim_CA600_OrderingQC_800x591_9.swfHTML5 File:/content/generator/Course_90004767/sim_CA600_OrderingQC_800x591_9/index.htmlPDF File:Select First TubeHTML Select First Tube to start the QC analysis. When complete, select the X in the upper-right corner to close the window and continue.   The Sysmex® CA-600 series Quality Control software program includes: QC data storage and evaluation features 6 different QC files that can store up to 180 data points for up to 14 different test methods Data Evaluation on a Levey-Jennings QC chart   QC Software Menu Learn about the key areas of the QC Software Menu. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004767/sim_CA600_QCSoftwareOverview_800x591_9/sim_CA600_QCSoftwareOverview_800x591_9.swfHTML5 File:/content/generator/Course_90004767/sim_CA600_QCSoftwareOverview_800x591_9/index.htmlPDF File: QC Control Limits Learn more about QC Control Limits.   QC Control limits Control limits evaluate if the QC results exceed the mean +2 standard deviations (2SD), or the mean +3 standard deviations (3SD). If a QC result exceeds a control limit, the system flags the result on a Levey-Jennings QC chart, sounds an alarm, and records an error message on the error log as described below: Upper Stop Limit (Stop_UL) = mean +3SD. If a QC analysis result exceeds the upper stop limit, the instrument stops running. Upper Flag Limit (Flag_UL)= mean +2SD. If a QC analysis result exceeds the upper flag limit, the instrument flags the data as an error. Target = Target value of QC data Lower Flag Limit (Flag_LL) = mean -2SD. If a QC analysis result falls below the lower flag limit, the instrument flags the data as an error. Lower Stop Limit (Stop_LL) = mean -3SD. If a QC analysis result falls below the lower stop limit, the instrument stops running. Levey-Jennings charts QC evaluation method compares data to control limits that are set to the mean +2 standard deviations (2SD), or the mean +3SD to determine if data should be accepted or rejected. When complete, select the X in the upper-right corner to close the window and continue. Use the Quality Control screen to print QC results in a Levey-Jennings chart or list format. To print QC results from the Main Menu screen: Select QC On the Quality Control screen, use the Select File / Select Test keys to select the test method and QC file that you want to print Select  Print Select Graph to print QC results in a Levey-Jennings chart format or Select List to print QC results in a list format Select Cancel to cancel printing Printing QC Results Learn about Printing QC Results. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004767/sim_CA600_PrintingQCresults_800x591_9/sim_CA600_PrintingQCresults_800x591_9.swfHTML5 File:/content/generator/Course_90004767/sim_CA600_PrintingQCresults_800x591_9/index.htmlPDF File: The Sysmex® CA-600 series QC data can be printed by the built-in printer in two different formats. QC data in list format QC data in Graph format Note:  The number of data points that can be printed is for either 180 or 60 points, which is selected by the Change Scale key. QC Printouts Learn about QC printouts. Slide NumberText BlocksCalloutsAudio ScriptImage File1QC Printouts can be printed in two different formats: Graph printout List printout Select Next to continue. Select each number to review the corresponding text.Note: If audio does not automatically start, select the play arrow in the top left to begin.CalloutsGraph printoutList printoutQC Printouts can be printed in two different formats. The graph printout displays the QC data in a Levey-Jennings chart format. The list printout displays the QC data in a simpler list format. Select Next to continue. 2General printout information on the Graph and List printout: Date and Time Test method and QC file QC lot number and expiration date Select Next to continue.  Select each number to review the corresponding text.CalloutsDate and TimeTest method and QC fileQC lot number and expiration dateThe information that is displayed at the top of the printout is similar for both the Graph and List printout. The date and time the printout was printed is under the QC Chart header. Below the date and time is the test method and the QC file. The QC lot number and the expiration date is also listed at the top of the printout. Select Next to continue. 3Test method and QC file specific information on the Graph and List printouts: Mean SD CV% Stop UL and LL Flag UL and LL Target Select Next to continue. Select each number to review the corresponding text. CalloutsMeanSDCV%Stop UL and LLFlag UL and LLTargetThe information that is displayed at the bottom of both printouts is specific to the test method and the QC file that ishas been selected in the QC software menu. The mean, standard deviation and CV% displayed is calculated using the data points in the QC file selected. The stop upper and lower limit, flag upper and lower limit and the target values that are displayed are laboratory specific and are set within the QC software menu. Select Next to continue. 4 QC Graph Printout: Levey-Jennings Chart QC data displayed on a Levey-Jennings chart Stop-LL (Lower Limit) Stop-UL (Upper Limit) Select Next to continue.  Select each number to review the corresponding text.CalloutsQC data displayed on a Levey-Jennings chartStop-LL (Lower Limit)Stop-UL (Upper Limit)The QC Graph printout displays the QC data in a Levey-Jennings chart format. Depending on the scale that is displayed on the QC software menu, the graph printout will print 60 or 180 data points. Also displayed on the Levey-Jennings chart is the stop lower limit and the stop upper limit, representing the 2 standard deviation limits. Select Next to continue. 5QC List Printout: Date and time Individual QC results QC limit flags Select each number to review the corresponding text.When complete, select the X in the upper-right corner to close the window and continue.CalloutsDate and timeIndividual QC resultsQC limit flagsThe list printout displays the individual data point results, along with the date and time the QC was performed. If the QC result exceeds the stop lower limit or stop upper limit, it will be marked with an asterisk to the right of the result.